Individual
TERRY L ROTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.PH.
Contact information
Practice address
2330 HWY 93 N, KALISPELL, MT 59901
(406) 758-2528
(406) 758-2525
Mailing address
2330 HIGHWAY 93 NORTH, KALISPELL, MT 59901
(406) 758-2528
(406) 758-2525
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
3836
MT
Other
Enumeration date
08/07/2012
Last updated
08/07/2012
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